| NPI | 1508197203 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: VA 0101255520) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0116023746) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101255520) | |
| Enumeration Date | 2010-01-19 |
| Last Update Date | 2021-10-22 |